Examples of Medical Directors in a sentence
Cigna Medical Directors apply the definition of “medical necessity” set forth in the governing plan instrument or the definition required by state law.
Medical Directors and Health Service Physicians shall have their initial salary set without reference to the ranges stated above.
Preference should be given to hiring Medical Directors with Primary Care experience.
This includes anyone with administrative responsibilities in managing the IPA in any capacity, including but not limited to, UM, claims, Case Management, compliance staff, Medical Directors, and anyone with clinical decision-making authority.
For example, we use the medical judgment and expertise of Medical Directors to determine whether claims for benefits meet the definitions below of “Medical Necessity” or “Experimental/Investigative Services.” We also have medical experts who determine whether care is custodial care or skilled care and reasonably interpret the level of care covered for your medical condition.
Contractors’ Medical Directors (CMDs) may meet and discuss whether a drug is usually self-administered without reaching a formal consensus.
Beginning January 2013, all Mississippi Off-Line Medical Directors shall take Medical Director’s course as prescribed by the Mississippi State Department of Health, Bureau of Emergency Medical Services and the Medical Direction, Training and Quality Assurance Committee.
Medical Directors Council, National Association of State Mental Health Program Directors: Reducing the use of seclusion and restraint: Findings, strategies, and recommendations.
Credentialing files assigned a level 1 are considered clean credentialing files and the Medical Director(s) responsible for credentialing has the authority to review and approve them.
Pharmacy & Therapeutics (P & T) Committee is a committee of Cigna Participating Providers, Medical Directors and Pharmacy Directors which regularly reviews Prescription Drugs and Related Supplies for safety and efficacy.